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Official Registrati rm - California Water Resources rol Board I,�,t • Hazardous Substance Storage Statement Who Must Flle:Each person storing hazardous substances in any antler the lank.Wastes are iOClpded. grouno container must file this term no later man July 1.1984(Alter October Fee: For each lank registered a$10 fee must be paid.except that retail 1.1984 and no later than January I.1985 for tanks used on farms) gasoline stations pay$5 per tank. Definition of Underground Containers: The law applies to "concrete PemMu:For failure to life.the penally is$500-$5000 per day II you falsity sumps.nonvaulled buried tanks or other underground containers. (Water information.you can be fined up to$20.0$0 for each day me Information Is Code section 131]3)All containers,including earthen walled pits.ponds. incorrect any has net been perp to$. lagoons and sumps.that are below the normal ground surface level must register A tank turning on the ground is not included Containers partially Confldenesllly: If you have information protected by trade secret laws. beneath the surface are included.Lined or unlined pits.ponds and lagoons please attach a list of the information on this form mat is confidential and the are covered If earth has been removed from the storage area Io conslrucI luslificalion for confidentiakly.Including specific citations of relevant slaw the facility. Normal grading is not considered construction below ground tory and case law. level. Mulaple ConUlmm:Fill I and II on one form and leave it blank on all the Definition of!'Ieordoue Substance:Any substance listed In Section 6382 remaining forms.Attach an forms together securely.If you own more man of the Labor Code or In Section 25316 of the Health and Safely Code.This 50 tanks you can file information on computer tape.Call 916/324-1262 for includes:gasoline.diesel fuel.all industrial solvents.pesticides.herbicides information. and fumigants If the material must be carried by a registered hauler.its- This Is not•Pemtit Application.All Underground Tanks will be subject to posed of at a hazardous waste site.Is expfovvegenerates pressure due 10 local regulation. Some jurisdictions have already begun programs. Check heat or decomposNon or would harm humans or wildlits you must register with your local county government for further Information NOTE:ALL UNDERGROUND CONTAINERS MUST REGISTER EVEN IF STATE AND/OR LOCAL PERMITS ARE IN FORCE. I Caner Name Il:upaalm IM a SOHIO TRANSPOR ATIOION COMPANY <•Y gale jIP 200 PUBLIC SQUARE CLEVELAND n_H__ 4411/ II Fadety Fli ryNeme CeYer/Fpermn/aupervrsa SOHIO CONSTRUCTION COMPANY NONE III Nsa—I came III 2694 WEST MONTE DIABLO RYDE STREET C." caro zIP STOCRTON Mernp SA94203 getless Cry N JOAQUIN 5151 SAN FELIPE, P. 0. BOX 4587 HOUSTON One a ZIP 77210 Prete wrpea<M! iyF¢of ay&rima 713-552-8500 ❑oI Motor Vehicle Fuel Station ®oz Other: ARRICATTONFAC TT TTY Nathan m*ams al rets FaanY Run!Arl IN, 6•rye semen 2 Only: III 24 Hour Emergency Contact Person Dara N.me uae rema ural end Pnore.ra�e.cmc xgnla Name Il.c throe I.vI ane Pix—arm cmc EVANGELISTI, R. 713-552-8732 EVANGELISTI, R. 713-550-3511 COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER IV Description A.KI I,Tank 0 0 Sump ❑in Lagoon.Pit or Pond 0 f Other Cirrho•rilkii""nye�•mr w,aaa.g_ 002 B. Manufacturer er(ilf apFI propriate]IDy Sales Year of Mf .: 1982 9 C. Year Installed: 1982 ❑unknown D. Container Cepacity:lD-Doo gallons 13 Unknown E. Container Repairs: K)r,None 0 a Unknown 0 0 Yes Year: F. Is Container currently used? ❑or Yes Qm No If No,year of last use: 1985 ❑m Unknown G. Does the Container Store(Check One): ❑m Waste maz Product H. DEWS ContAine S' I&e Motor Vehicle Fuel or Waste Oil? O of Yes ❑oz No 0 1Ne9.check appropriate box(es). . ❑m Unleaded ❑m Regular ❑w Premum O:oa Diesel ❑m Waste Oil ❑m Other(List): V Container Construction A. Thickness of Primary Containment: U.1i ❑Gauge W Inches ❑cm ❑Unknown B. ❑of Vaulted(Located in an underground Vault.) 09 u Non-vaulted ❑oz Unknown C. ❑aI Double Walled IEox Single Walled ❑.Lined 0 s Wrapped 13.Unknown ❑.None D. 1%t,Carbon Steel ❑u Stainless Steel ❑m Fiberglass ❑a Polyvinyl Chloride ❑or Concrete 0 a Aluminum ❑or Steel Clad O m Bronze O m Composite ❑to Non-metallic ❑ rr Earthen Walls Ore Unknown ❑u Other E. ❑oI Rubber Lined ❑az Alkyd Lining ❑m Epoxy Lining ❑a Phenolic Lining ❑m Glass Lining ❑as Clay Lining 43 or Unlined ❑as Unknown ❑re Other: F. ❑oI Polyethiene Wrap ❑.Vinyl Wrapping 0 0 Cathodic Protection ❑.Unknown 0re Non m �IaL�I; A"al